Tottenham could be without as many as 11 first-team players for their trip to Liverpool on Sunday, with two new injury doubts after a nasty clash of heads.
Liverpool may be low on morale and with questions over their head coach, but Tottenham‘s situation ahead of Sunday’s clash at Anfield is even worse.
Tuesday brought a horror show against Atletico Madrid in the Champions League as goalkeeper Antonin Kinsky was brought into the side only to concede three goals before being substituted after just 18 minutes.
Tottenham went on to lose 5-2 and lost two more players to injury in the second half as Joao Palhinha and Cristian Romero clashed heads.
Both required lengthy treatment and Palhinha was brought off, and while Romero attempted to play on he was then forced out of action late on.
It remains to be seen if either will be involved against Liverpool as concussion protocol could rule them out for a number of days or even weeks.
Alisson missed almost three weeks of training and games after suffering a concussion while on duty with Brazil a year ago, with the recovery process depending on a variety of factors and subject to six stages of testing.
Tottenham already know they will be without up to nine other players, including centre-back Micky van de Ven who is suspended after a red card against Crystal Palace.
Dejan Kulusevski, Rodrigo Bentancur, James Maddison, Ben Davies, Lucas Bergvall, Wilson Odobert and Mohammed Kudus are long-term absentees.
Left-back Destiny Udogie is also considered a doubt as he works his way back from a hamstring injury suffered at the start of February.
While Igor Tudor will still be able to field a cohesive lineup at Anfield, he could be forced to name a makeshift back three if Romero joins Van de Ven on the absentee list.
Radu Dragusin is almost certain to join Kevin Danso in defence, but 19-year-old Archie Gray may also be required to shift from midfield to centre-back.
Liverpool are not without issues, of course, with Alisson considered a doubt with a minor injury having missed the 1-0 defeat to Galatasaray on Tuesday along with Federico Chiesa, who is ill.